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APPLICATI� FOR CONSTRUCT�ON PERMIT //�� <br /> CITY OF EVERETT•BUILDING DIVISION �/ <br /> 3200 CEUAR STREET•EVEFiETT,WA 98201 •(425)257-8810 <br /> ❑ DEI�OLIT�ON ❑ COMB�NATION ❑ BUILDINC ❑ MECN�NICAL ❑ PLUMBINO ❑ SICiH <br /> PRyOJL'CTADDRJE/5�5:�3{ - ��/]�PIqCG p <br /> S'qell���!JI�L�ui�oonras���arv� �V im �0 r.a�n y -3 -/_j�� <br /> �f'II.YI 4ul�lRY�f{5 f.111 IN A�OMf <br /> utrnrcront�EHc�nn ouiu�m�ts; un �,�- .«wr '-' <br /> S�e.�e�/ l�ku, 3/l=T e o _PL• ��P-�ct/, y8�o$ �/�.5-353-13Y8 <br /> �.rxine�crnmnuan �ui�om[x nt� ��r + nr .in ¢rru. <br /> •iful.a�Ulcm�n�rluu uu�I.[RYM55 [vn � )�� '-- r�pvr 5utrlKtvSt• <br /> !'I�i�/ql'�ffONIP�f,lpl M���fNYl�55 CI�Y jl� f'Mpi1 5�1t(IICCNif• <br /> i.�rvrmn rnrc:r a m�+ "— <br /> MEATING SYSTEM: ❑GAS O EIECTRIC O <br /> rvs� mtvrn. pu•.wnrtr��u�yrm�'ryvrn�/ , camn^i�s�wn�mr��mrw <br /> �NSIQ�IINd WDO(/>/G✓C INSC'Rt <br /> I 11EREBV CERTIPY TN�T I NAVE RE�D �ND E%AMINED TMIS <br /> �PPIIGTION�ND KNOW illF S�ME i0 BE TRVE�ND CORREGT �LL <br /> n�vxns�o vw.rn nminrxi PROVISIDNS OF UWS�ND ORDINANCES GOVERNMG THI$TYPF OF <br /> WOPN Wil L 8! COMPLIED WITH WNETHER SPEC�FlEO NEHEIN Oq <br /> �fm�.IXumr�pr1p rnor[nrv�srqwnmiowd��n¢Hiworn+rsi NOT. THG GR�NiiNb OF q PERMIT DOES NOT PRESVM[ TO GIVE <br /> �oi eiocx w �UiHORI'Y iO VIOLAT@ OP CANCEL TNE PROVISION OF ANY <br /> OiMER St�iE OR'_OCnL L�W RECUUTING CONSTRUCTION OR TNE <br /> PEHfORMANG[Of CONSiRUCTION TMQ 1�M�U7HOR2ED BV iHE <br /> OWNER O� iH15 PIIOGERiV •O PERFORM TME WORM FpR WNICM <br /> APPLICFTION i5 �ARD[ �NO I COMPLV WITH TIIE S7�TE <br /> renr.nu�mu�n.�n�n CONiN�C10R5lRW �PB1qGWAN0296000WRC <br /> u.,s,�,�.,�„o.�,��,�.��==n,��.��� x_�„� ;��lr,F;C i —�.g-�o <br /> ..�.,�„ �,.,, <br /> b1�R1@MSSUCI4q r�O <br /> PLUMBINO MELHIINIC11l <br /> NO. TYPEOFFlI(TUREORITEM FEE NO. TYPEOFEOUWMENT FEE <br /> W�TEB GLOSET�TOILET) NC-AMNOLG UNIT$ <br /> BRTHiIIB pORGED AIR SVS7EM5 <br /> LAVATORY(WASH BRSIN) HEAT PUMP <br /> SMOWEA UNIT NEA7Eti5 <br /> NITCNEN SINk 6 pISP CLOTNES URV[q5 <br /> DISHWASHER RnNGE H00� <br /> �AUNDRY TR�Y WAIER HEATC� <br /> GIOTHES W�511ER 1YOOD STOVE <br /> UHINRL METAL FiRE�LACE ryJ00D B'JRNING� <br /> ORINHIN6 FOVNTMN ilii[PLACE INSERi ryl00�BURNING) <br /> FLO�R DRAIN GAS FlPEPLACE <br /> OACNFIOW PREVENTERS f.AS RANGE <br /> SINN(SERNCE-BAR.ETC.) GAS PIPING <br /> E%HAUSTFAN � <br /> i <br /> SUOiOTAL S SU�TOTAI f <br /> PERMIT f PERMIT S <br /> TOTAIFE: 5 TOT�ifEE f <br /> FOR OFFICE USE ONLY: <br /> In:�ryl5fl��Iv 11ln11tf1PKY S�IXNIRKn h�NClllCKNV�MfP If( nlflil`fNQ <br /> ���,i �ovr - imu�i. v.uv�vn FEES ��lUl1TI0N FEE <br /> ❑Y([ ❑M) --� <br /> r.n�rn..r. <br /> ��li'�.�r11�4i1/.�IOY 40Y1)WIII�� $�I[MIIIIX1�11 <br /> � ' ryV411Nf <br /> .__ ___ . . ��_ __ <br /> . . ' ��r.� � �y�.Il�1.�411t)�f� P�ClNIr.� NIIv��V � <br /> ❑�IS ❑YO <br /> ��. ��. !.I11.1�1)L) 1F�CCN �Ddl�(14�i M1IYCIXL� <br /> f)I��f� <br /> � ��a�vnwn m.�ov —'_ _' <br /> 1��1 RIIM1VMti tiNNlul1!H <br /> ��.���.-o•��� rinvs��mw�nm CITYOFEVERETT mxu�:wv.�... _"__ ...' ' ' __ _"_ <br /> _ <br /> LOCALS�LES ------- --- - -- � -- <br /> i„�t TAX CODE IS J705 Toi�L <br />